CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Lehigh Valley Hospital - Dickson City

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$19,072

about 1.4× the $14,117 Medicare rate · typically $16,437–$23,964

modeled estimate · not a bill or quote

What this hospital charges insurers

$15,758

Below the fair price — a good deal

about $3,314 under the fair price · 1.1× Medicare

Medicare pays $14,117 Fair price $19,072 This hospital $15,758

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $12,085 Priciest $15,758

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $19,072 (about 1.4× the $14,117 Medicare rate). Lehigh Valley Hospital - Dickson City charges insurers about $15,758 — below the fair price — a good deal. Located in Dickson City, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$12,630 - $35,386	89%
Blue Cross Blue Shieldmajor	$13,542 - $39,113	96%
Aetnamajor	$13,941 - $35,693	99%
Cignamajor	$13,675 - $59,312	97%
Humanamajor	$14,074	100%
Ambetter (Centene)	$30,605	217%
AmeriHealth	$13,675	97%
Devoted Health	$14,074	100%
Geisinger	$13,941 - $30,472	99%
HealthPartners	$13,941 - $24,815	99%
UPMC Health Plan	$14,074 - $35,212	100%
+ 4 smaller / regional plans	$13,675 - $32,331

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 871.

Insurance Before you use insurance

Call your insurance company to confirm Lehigh Valley Hospital - Dickson City is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 871.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Lehigh Valley Hospital - Dickson City

Compare: Sepsis treatment (inpatient stay) at other PA hospitals

Geisinger-Bloomsburg Hospital · Bloomsburg $12,085
Chan Soon- Shiong Medical Center at Windber · Windber $13,314
Penn State Health Lancaster Medical Center · Lancaster $13,631
Advanced Surgical Hospital · Washington $14,182
Meadville Medical Center · Meadville $14,284
Allegheny Valley Hospital · Natrona $14,326
Canonsburg General Hospital · Canonsburg $14,337
Punxsutawney Area Hospital · Punxsutawney $14,586

Insurance negotiated median for the same procedure, sorted lowest first.